Clinical trial • Phase III • Neurology
N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAMIDE for Narcolepsy Type 1 (Narcolepsy with Cataplexy)
Phase III trial of N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAM…
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Narcolepsy Type 1 (Narcolepsy with Cataplexy)
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 14-08-2025
- First CTIS Authorization Date
- 27-11-2025
Trial design
open-label Phase III trial across 1 site in Italy.
- Open Label
- Yes
- Biomarker Stratified
- True, HLA-DQB1*06:02 status or CSF orexin/hypocretin-1 concentration (<110 pg/mL)
- Target Sample Size
- 16
Eligibility
Recruits 16 paediatric patients.
- Pregnancy Exclusion
- Participant has a positive pregnancy test result at screening or is breastfeeding.
- Vulnerable Population
- Pediatric population (children aged 6 to 17 years). Consent is provided by parent or legal guardian; participants old enough to understand provide assent. The parent/legal guardian and participant (when applicable) must sign and date the ICF after reviewing the participant information sheet prior to protocol procedures.
Inclusion criteria
- {"criterion_text":"- The participant has an ICSD-3 or ICSD-3-TR diagnosis of NT1."}
- {"criterion_text":"- Male or female participants aged 6 to 17 years, inclusive, at the time of signing the ICF."}
- {"criterion_text":"- The participant has a body mass index within the range 18 to 30 kg/m2"}
- {"criterion_text":"- The participant is positive for the human leukocyte antigen (HLA) genotype HLA-DQB1*06:02 or results from radioimmunoassay indicate the participant’s CSF OX/hypocretin-1 concentration is <110…pg/mL"}
- {"criterion_text":"- The participant is judged by the investigator to be sufficiently healthy to participate in the trial based on clinical evaluations including laboratory safety tests, medical history, physical examination, 12-lead ECG, and vital sign measurements performed at the screening visit and before the first dose of trial intervention."}
- {"criterion_text":"- Parent or legal guardian – and participants old enough to understand - have expressed a willingness to participate in and complete the trial and signed and dated the ICF after getting acquainted with the participant’s information sheet, prior to beginning protocol-required procedures."}
Exclusion criteria
- {"criterion_text":"- Participant is unable to refrain from using excluded medications"}
- {"criterion_text":"- The participant has a positive urine screen result for drugs of abuse and/or positive alcohol test result at screening or at Day -1."}
- {"criterion_text":"- Participant has a positive pregnancy test result at screening or is breastfeeding."}
- {"criterion_text":"- Participant has a known hypersensitivity to any component of the formulation of oveporexton or related compounds."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Maximum observed concentration (Cmax). Time to reach maximum observed concentration (tmax). Area under the concentration-time curve from time 0 to infinity (AUC∞), calculated using the observed value of the last quantifiable concentration.","definition_or_measurement_approach":"Plasma pharmacokinetic (PK) parameters measured in plasma: Cmax, Tmax, and AUC∞ calculated using observed last quantifiable concentration."}
Secondary endpoints
- {"endpoint_text":"- Occurrence of at least 1 TEAE.","definition_or_measurement_approach":"Safety assessed by incidence of treatment-emergent adverse events (TEAEs)."}
- {"endpoint_text":"- Participants rating acceptability and palatability.","definition_or_measurement_approach":"Acceptability/palatability assessed by the Acceptability/Palatability Questionnaire."}
Recruitment
- Planned Sample Size
- 16
- Recruitment Window Months
- 3
- Consent Approach
- Consent obtained from parent or legal guardian; participants old enough to understand provide assent. The parent/legal guardian and participant (when applicable) must sign and date the informed consent form (ICF) after reviewing the participant information sheet prior to protocol-required procedures. No specific languages or additional consent logistics are specified.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 16
Italy
- Earliest CTIS Part Ii Submission Date
- 03-11-2025
- Latest Decision Or Authorization Date
- 27-11-2025
- Processing Time Days
- 24
- Number Of Sites
- 1
- Number Of Participants
- 16
Sites
- Site Name
- Azienda Unita Sanitaria Locale Di Bologna
- Department Name
- UOC Neurological Clinic
- Principal Investigator Name
- Giuseppe Plazzi
- Principal Investigator Email
- giuseppe.plazzi@unibo.it
- Contact Person Name
- Giuseppe Plazzi
- Contact Person Email
- giuseppe.plazzi@unibo.it
- Number Of Participants
- 16
Sponsor
Primary sponsor
- Full Name
- Takeda Development Center Americas Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Signant Health Global LLC
- Responsibilities
- eCTP
- Name
- Cogstate Limited
- Responsibilities
- Cognitive Testing
- Name
- PPD Development LP
- Responsibilities
- PK
- Name
- Eresearchtechnology Inc.
- Responsibilities
- ECG analysis/review
- Name
- PPD Global Central Labs
- Responsibilities
- Safety labs
- Name
- Pharmaceutical Product Development LLC
Third parties
- {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"eCTP","organisation_type":"Pharmaceutical company"}
- {"country":"Australia","full_name":"Cogstate Limited","duties_or_roles":"Cognitive Testing","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"PK","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"ECG analysis/review","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"Belgium","full_name":"PPD Global Central Labs","duties_or_roles":"Safety labs","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- TAK-861
- Active Substance
- N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAMIDE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Authorised
- Orphan Designation
- Yes
- Investigational Product Name
- TAK-861
- Active Substance
- N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAMIDE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Authorised
- Orphan Designation
- Yes
- Investigational Product Name
- TAK-861
- Active Substance
- N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAMIDE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- Authorised
- Orphan Designation
- Yes
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